Ruan Bin and Zhang Chao soon found Li Hao again to explain the situation. In fact, at this point, there was almost no way to delay it.

Li Hao could only agree to take the risk of surgery!

After all, I wait for another five hours and wait for the blood to come before the operation. I guess I will be gone by then~

Soon the medical department also signed and approved it!

So this operation was carried out with only 500 milliliters of blood stocks!

In the operating room.

After the anesthesia was effective, Ruan Bin began to undergo surgery! He used a central sternum incision!

After the incision is made, an extracorporeal circulation is established in the femoral artery, right axillary artery and superior and inferior vena cava cannula isolate the nameless artery, left common carotid artery, and left subclavian artery to cool down and block the ascending aorta.

The ascending aorta is cut off from about 1.5 cm above the junction of the sinus canal, and the cardiac arrest fluid is perfused through the openings of the left and right coronary arteries. After cooling down to 28c, the systemic circulation is stopped, and the ascending aorta is cut off proximal to the nameless artery. Then the left common carotid artery cannula is injected, and selective anterior cerebral perfusion is performed through the right axillary artery and the left common carotid artery.

All of the above operations are extremely smooth.

Zhang Chao is very suspicious that Ruan Bin has undergone hundreds of similar operations?

But he knew that the next steps were the key!

He is also looking forward to Ruan Bin's novel internally covered aortic arch replacement surgery!

I saw Ruan Bin taking the Us intraoperative stent system with the appropriate diameter and putting it into the true cavity of the descending aorta. The proximal end of the stent is aligned with the lower edge of the left subclavian artery opening and released. The artificial blood vessels at the proximal end of the stent are deployed to the side of the aortic arch, and the corresponding artificial blood vessels at the opening of the three branches are wedge-shaped.

Use 5-0 prolene line to fix the artificial blood vessels on the lower edge of the left subclavian artery with a mattress suture, and then continuously suture it to both sides to match the edge of the artificial blood vessel at the proximal end of the stent with the aortic wall of the arch, and complete the arch reconstruction within the aortic arch!

"This is the way of matching... this route..." Zhang Chao looked at him with concentration, his eyes shining!

Because he found that Ruan Bin's improved anastomosis method can avoid internal leakage of the arch anastomosis! When the arch suture is sutured, the inlet and outlet needles are both on the artificial blood vessels. The pulling suture must be gentle and completed by the surgeon as much as possible to avoid tearing the endometrium.

There is also the penetrating U-shaped overlap suture method of the aortic arch anastomosis when the posterior wall is anastomotic, and the penetrating U-shaped overlap suture method of inserting needles from the aortic cavity and exiting needles from the aorta to perform full-layer suture. This simple and practical suture method can ensure that the false cavity of the arch part can be closed while avoiding tear damage to the inner membrane of the arch part.

No wonder Ruan Bin said before that it is simple, direct and effective! It can also greatly reduce the operation time.

Ruan Bin just changed the course of surgery, making the surgery simpler and pleasing to the eye!

At this time, Ruan Bin used a 4-0 prolene line to complete the proximal end of the arch, so that the proximal end of the arch is covered by artificial blood vessels except for about 1/4 of the upper part. Cut two artificial blood vessels about 5mm wide from a branch of artificial blood vessels, lined with inside and outside of the 1/4 of the artificial blood vessels not covered, and sutured.

In this way, the proximal end of the aortic arch is covered by artificial blood vessels. An artificial vascular segment is attached to the aortic wall of the proximal end of the arch. The 4-0 prolene line is continuously sutured to the proximal end of the arch to an anastomosis with a branch of artificial blood vessels. After exhaustion, the whole body circulation is restored and the temperature is re-heated. The proximal end of the ascending aorta is anastomotic with the end of the artificial blood vessel...

The operation is completed!

The bleeding volume is only 300 ml!

This surprised Zhang Chao!

Ruan Bin's surgery avoided the problem of too deep and difficult anastomosis, and also simplified the operation, reducing the surgery from the traditional one for at least 7 hours to 5 hours. At the same time, due to the small anastomosis, bleeding is also reduced, which solves the problem of a large amount of blood transfusion during the operation. This improved surgery is very suitable for promotion!

Type A aortic dissection aneurysm is currently the disease with the highest clinical incidence and mortality rate. It is usually treated with surgical procedures internationally and is one of the "hardest surgery" recognized in the field of cardiovascular surgery.

Now that this kind of improved surgery is released, it will be a blessing for countless cardiovascular surgeons!

This streamlined and practical operation is definitely easy for many attending doctors to take action!

Not to mention the kind of deputy director and director-level veteran driver.

Outside the surgical door.

Li Hao walked around the corridor anxiously. He was anxious. His father had been in for so long and didn't know what was going on.

He looked at the time, "Five hours have passed, haven't come out yet?"

At this moment, a nurse suddenly came over with a few bags of plasma.

"This is..." Li Hao couldn't help asking.

"I'll ask if the plasma transferred from other cities just now is still needed."

At this moment, the surgeons started.

Ruan Bin and Zhang Chao walked out of it.

"Doctor Ruan, Director Zhang, how is my dad?" Li Hao asked anxiously when he came up.

"The operation is very successful! I believe I will be discharged from the hospital in a week." Ruan Bin said with a smile.

"real?"

"Of course! 300 ml appeared during the operation, so the blood was basically enough." Zhang Chao said with a smile.

"Then these plasma..." The nurse held up the plasma in her hand.

"In stock! No need anymore." Ruan Bin said.

"Doctor Ruan, Director Zhang, thank you!" Li Hao's eyes were filled with tears.

…………

Ruan Bin invented this improved version of the streamlined and novel internally covered aortic arch replacement surgery, which was instantly spread in the cardiovascular surgery department of major hospitals in the entire Magic City.

Many cardiovascular surgeons were amazed after watching Ruan Bin’s surgery video!

Obviously, this improved and streamlined surgery has greatly reduced the difficulty of the original surgery. This is not counting, but it is even more simplified, reducing risks and reducing bleeding!

This surgery video was quickly posted on the surgery forum, which immediately attracted many hospitals across the country and many cardiovascular surgeons to watch and learn from it.

After all, Ruan Bin is now an internet celebrity doctor in the surgery forum!

Many younger generation doctors and even many older generation doctors pay great attention to and admire him!

"This kind of improvement technique is really so essence! It's like simplifying the twenty-eight dragon-subduing palms to the eighteen dragon-subduing palms, which is even more powerful!"

"Compared with the methods commonly used in the world, it is simple to operate and easy to master; it reduces the incidence of surgical complications and increases the success rate of surgical operations!"

In the past few days, Zhang Chao from the Department of Cardiovascular Surgery and an old colleague from another department who is familiar with him brags about how awesome Ruan Bin is. It seems that he is the Jade Emperor and Ruan Bin is the Buddha of Tathagata. This time he can subdue the "demon monkey" by Tathagata!
Chapter completed!